HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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RECEIVED
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Building Permit Application uuAA
Planning and Development Services I�U�11 E 2016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXXXXXXX
PERMIT IPPLICATION FOR: Roof
PROPOSE®,INLPROVEMENT•LOCAT160:,-. . -
Address: 4 JOA FT. PIERCE, FL 34951
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE- 1301-111-0001-000-5
Property Tai ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Namie:
Setbacks Front Back: Right Side: Left Side:
DETAILED,"DESCRIPTION'OrF WORK.
REMOVE iXISTING ROOF
REPLACEANY ROT
INSTALL ASTM -226 30# UNDERLAYMENT
INSTALL 26 GA METAL ROOF SYSTEM ON Af31,12µMOBILEiH.OME
CONSTRUCTION 1NFORIVIA
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Additional work to be nerformed un er t is permit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator Roof
Total Sq. Ft i f Construction: 1,500 SFt.of First Floor:
Cost of Construction:$ 6,375 Utilities:_Sewer Septic Building Height:
O.WN ER/.LESSEE: CONTRACTOR:
Name JIM ALDRIDGE/WYNNE BUILDING CORP Name: JOE BAKER
Address:4 JOYA/12804 SW 122ND AVE Company: BIG LAKE ROOFING&REPAIRS
City: FT PIERCE/MIAMI State:FL Address: 2699 NW 16TH BLVD
Zip Code: 34951 /33186 Fax: City: OKEECHOBEE State:FL
Phone No.860-682-2998 Zip Code: 34972 Fax: 863-763-7662
E-Mail: Phone No. 863-763-7663
Fill in fee simple Title Holder on next page(if different E-Mail: BIGLAKEROOFING@YAHOO.COM
from the Owner listed above) State or County License: CCC046939
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CQNSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ASMUSSEN ENGINEERING LLC Name:
Address:P.o!Box 1996 Address:
City: OKEECHOBEE State: FL City: State:
Zip: 349731998 Phone: 663-763-6546 Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: of Applicable
Name: Name:
Address: I Address:
City: I City:
Zip: Phone: Zip: Phone:
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I certify that o work or installation has commenced prior to the issuance of a permit.
St.Lucie Cour, makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory str Ictures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING OO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature ofOwner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORI �,� n STATE OF FLORIDA --
COUNTY OF r9�-P cI^�0 6=e'tQ COUNTY OF U eC,,k obe-p
The for oingl instrument was acknowledg before me The for pQ��',,n�instrum nt was acknowledg before me
this the ' of 20 IV by this TdAy of nna 20IJp by
ao"e Kt4_
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced— nn Type of Identification Produced
Commission No. �a°�P �e� COMIII�gS1bN#FF125216 Commission No. ,``ka��A�1��� H�gbgf
Idwardson
=" EXPIRES: May 21, 2018 = COMMISSION#FF125216
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Revised+15/2014
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DATE
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INITIALS
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